Although antrectomy with gastrojejunostomy is the usual technique for reconstruction, some preserve the entire stomach and pylorus plus several centimeters of duodenal bulb for end-to-side anastomosis to the jejunal limb according to the method of Longmire. In the usual reconstruction, however, better exposure is obtained for the subsequent steps of the procedure if the stomach is divided at a level that ensures complete removal of the antrum (Figure 7). Truncal vagotomy also is performed to decrease the incidence of late postoperative gastrojejunal stomal ulceration, unless lifetime treatment with proton pump inhibitors or other acid suppressing medication is determined to be preferable.